|
| |
|
6400 Laurel Canyon Blvd Suite 500 North Hollywood CA 91606-1571 | |
| (818) 901-6376 | |
| (818) 904-9273 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6400 Laurel Canyon Blvd, North Hollywood, California |
| Authorized Official Name and Position | Timothy Ryder (PRESIDENT) |
| Authorized Official Contact | 8189014830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
16360 Roscoe Blvd Suite 200 Van Nuys CA 91406-1219 Ph: (818) 901-4830 | 6400 Laurel Canyon Blvd Suite 500 North Hollywood CA 91606-1571 Ph: (818) 901-6376 |
| NPI Number | 1013047422 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 02/04/2020 |
| Certification Date | 02/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013047422 | NPI | - | NPPES |
| 000006853 | Other | CA | MEDICAL PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Sk Behavior And Learning, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6312 Beeman Ave, North Hollywood, CA 91606 Phone: 818-510-1733 | |
Daled Md Group Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7537 Laurel Canyon Blvd Unit A, North Hollywood, CA 91605 Phone: 818-858-0211 | |
Healing Art Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10653 Riverside Dr, North Hollywood, CA 91602 Phone: 213-787-7644 | |
Mindlinq Behavior Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7849 Saint Clair Ave, North Hollywood, CA 91605 Phone: 818-601-7676 |